INSURANCE PRIOR AUTHORIZATION EXEMPTIONS

Summary

The bill creates a new process that lets doctors and other outpatient providers who have a high approval rate for prior‑authorization requests obtain an exemption from future prior‑authorization requirements. Insurers must approve exemptions when at least 90% of a provider’s last ten requests were approved, and they must respond to applications within ten business days. The law also sets rules for rescinding exemptions, handling fraud or abuse, and provides an independent review option.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

Topics

Share